The Centers for Medicare & Medicaid Services (CMS) has launched a nationwide initiative aimed at strengthening eligibility oversight for Medicaid and the Children’s Health Insurance Program (CHIP). This effort focuses on ensuring that only eligible individuals remain enrolled. At Resource Corporation of America (RCA), we recognize the new challenges this poses to hospitals and health [...]
The Centers for Medicare & Medicaid Services (CMS) has announced two major updates that will directly impact hospitals, patients, and the revenue cycle in the coming years: Open Enrollment Period (OEP) Adjustments Expanded Access to Catastrophic Coverage Both changes are designed to respond to rising premiums and shifting coverage dynamics in the individual market. Open [...]
Patients naturally assume that everyone they encounter within a healthcare facility is a hospital employee. Onsite vendors are often seen as an extension of the hospital itself and should embody the organization’s values from the very first interaction. That’s why it’s essential to partner with vendors who fully integrate into your facility’s culture. Beyond verifying [...]
If you rely on Medicaid Disproportionate Share Hospital (DSH) funding, the next 12 months will matter. The American Hospital Association’s latest fact sheet flags significant reductions to Medicaid DSH starting Oct. 1, 2025 (FY 2026), with additional cuts slated for FY 2027–2028. Pair those reductions with persistent Medicaid underpayment and new limits on certain supplemental [...]